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Sports Camp Registration Form

Participant Name:

First

Last

Parent/Guardian:

First

Last

Address:

Street Address
Address Line 2 (optional)
City	State	Zip

Phone:

(ex. 555-555-5555)

Email:

Age:

Date of Birth:

(m/d/yyyy)

Grade:

School:

T-Shirt Size:

(Not applicable for all camps/clinics)

Position:

Youth Program:

Years of Experience:

For the Field Hockey Tournament, please provide all names of teammates, if known.

Team Members:

* All fields above are required except "Address Line 2".

Select Camp:

Field Hockey Clinic, 6/6 ($50) (No Deposit - Pay in Full)
Field Hockey Clinic, 6/10 ($50) (No Deposit - Pay in Full)
Sprint & Hurdle Clinic, 6/17 ($25) (No Deposit - Pay in Full)
Youth Running Clinic, 6/18 ($25) (No Deposit - Pay in Full)
Field Hockey Youth Clinic, 6/22 ($20) (No Deposit - Pay in Full)
Sprint & Hurdle Clinic, 6/24 ($25) (No Deposit - Pay in Full)
Youth Running Clinic, 6/25 ($25) (No Deposit - Pay in Full)
Sprint & Hurdle Clinic, 7/1 ($25) (No Deposit - Pay in Full)
Youth Running Clinic, 7/2 ($25) (No Deposit - Pay in Full)
Volleyball ID Clinic, 7/21 ($100) (Deposit - $50)
Volleyball Camp, 7/22-7/25 ($150) (Deposit - $50)
Field Hockey Camp, Grades K-5 ($50) (No Deposit - Pay in Full)
Field Hockey Camp, Grades 6-12 ($175) ($50 Deposit)

Please enter your amount of payment. A minimum deposit is due to hold your spot as outlined above or you may pay in full. *Please note when paying your final balance, you must return to this site and recomplete all registration and credit card information.*
Payment Amount (see above):		$

I would like to pay by: Mail-In Credit Card
Information for completing your payment and a confirmation screen will appear on the following pages.